STATE REPORT 11.01.2020 OKLAHOMA Issue 20 SUMMARY (Oklahomais in the red zone for cases, indicating 101 or more new cases per 100,000 population, with the 24th highest rate in the country, Oklahoma is in the red zone for test positivity, indicating a rate at or above 10.196, with the 11th highest rate in the country. (Oklahoma has seen a decrease in new cases and an increase in test positivity The following three counties had the highest number of new cases over the last 3 weeks: 1. Oklahoma County, 2. Tulsa County, and 3. Cleveland County. These counties represent 39.9% of new cases in Oklahoma. 86% of all counties in Oklahoma have moderate or high levels of community transmission (yellow, orange, orred zones), with 69% having high levels of community transmission (red zone). During the week of Oct 19 - Oct 25, 13% of nursing homes had at least one new resident COVID-19 case, 23% had at least one new staff COVID-19 case, and 4% had at least one new resident COVID-19 death, (Oklahoma had 193 new cases per 100,000 population, compared to a national average of 165 per 100,000. Current staff deployed from the federal government as assets to support the state response are: 2to support operations activities from FEMA. Between Oct 24 - Oct 30, on average, 161 patients with confirmed COVID-19 and 76 patients with suspected COVID-19 were reported as newly admitted each day to hospitals in Oklahoma, An average of 94% of hospitals reported either ‘new confirmed or new suspected COVID patients each day during this period, RECOMMENDATIONS ‘As you can see from the time sequence of maps at the back of your packet, there is a continued increase in cases, hospitalizations, and fatalities nationally, spreading southward from the coldest climates as the population moves indoors and cases increase exponentially. These maps demonstrate the previous impact of comprehensive mitigation efforts when implemented effectively in many areas and that partial or incomplete mitigation leads to prolonged community spread, hospitalizations, and increased fatalities. Must focus testing to find the asymptomatic transmission. With cases and new hospital admissions at high levels, ‘transmission must be reduced, With the daily new hospital admissions at high levels, there must be clear messaging to Oklahomanstto act now: + Donot gather without a mask with individuals living outside of your household. + Always wear a mask in public places. “+ Stop gatherings beyond immediate household until cases and test positivity decrease significantly. Effective practices to decrease transmission in public spaces include limiting restaurant indoor capacity to less than 50% and restricting hours until cases and test positivity decrease. Behaviors seem to be eroding in university towns with increasing cases and test positivity. Review testing at Lniversitiesif they have not been testing all students (on and off campus] weekly, then work with them to implement. weekly testing protocols. Prioritize the use of Abbot BinaxNOW: + Implement weekly sentinel surveillance among specific populations to provide detailed trend data on where ‘the virus is and direct mitigation efforts. Target populations should include healthcare workers, K-12 teachers, prison staff, and first responders. + Find asymptomatic cases to stop the source of spread; primarily test those younger than 40 years old. In areas with low positivity, confirm positives with RT-PCR testing, Realign contact tracing staff to support new testing approaches. Visualize integrated surveillance data on dashboard so community can see local virus changes. In accordance with CDC guidelines, masks must be worn by students and teachers in K-12 schools. Work with hospitals, chambers of commerce, and others to create and communicate PSAs on taking smart actions to stay open, including targeted messages to rural communities. Ensure all hospitals, including rural hospitals, have access to antivirals, antibodies, and ventilators, Tribal Nations: Provide Abbot BinaxNOW tests to Tribal Nations to conduct weekly testing among all of those who live cor work on the reservation. Weekly testing will immediately identify positives (asymptomatic and symptomatic), who will isolate and prevent further transmission to the community. Specific, detailed guidance on community mitigation measures can be found on the CDC we! ie propo of Das report ist dvelop a shared inderstnung ofthe rove statu ofthe pecemic ete national regional, sae nel liek cp et di ee ee om et ay ae tne Oe ce ee cowie ESS data sources ane methods that allow for comparisons to be made across localities. We appreciate your continued sipportinidennfying data COVID-19, ‘Aicrepenees end improving da completns cd shatngccrots stews. Me lok force ur fadercovip-19 Issue 20 OKLAHOMA STATE REPORT | 11.01.2020 STATE, % CHANGE FROM PREVIOUS FEMA/HHS STATE WEEK REGION UNITED STATES NEW COVID-19 CASES 7,634 11% 67,241 542,805 (RATE PER 100,000) (193) (157) (165) VIRAL (RT-PCR) LAB +0.7%* 3 a TEST POSITIVITY RATE azo oe ao cr TOTAL VIRAL (RT-PCR) LAB| 28,731" ee 619,844** TESTS (TESTS PER 100,000) (726**) (1,451**) COVID-19 DEATHS 92 +15% 901 5,623 (RATE PER 100,000) (2.3) (2.1) (1.7) SNFs WITH 21 NEW * RESIDENT COVID-19 CASE us 8 as a SNFs WITH 21 NEW STAFF 2: -5%* 2! 2 COVID-19 CASE a3 oe a oe ‘SNFs WITH 21 NEW 4% 40%" 5% 4% RESIDENT COVID-19 DEATH * Indicates absolute change in percentage points. Sete tiene sce ee eae ere tc age ae DATA SOURCES - Additional data details available under METHODS delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. os] Serre cer cts eect Electronic Lab Reporting Stee ue facilites, National Healthcare Safety Network. Data are reported separately fo eee heme 2020, previous week is 10/12-10/18, Facilities that are undergoing reporting quality review are not included in the table, but may Pines rece= ow» Issue 20 TESTING NEW CASES Vv v TOP COUNTIES v re SUZ! LAB TESTS TOTAL VIRAL (RT-PCR) NEW CASES: (CUMULATIVE) COVID-19 CASES OKLAHOMA STATE REPORT | 11.01.2020 1500 1000 500 ° — dally covina9 Cases (7-day average) MM Dally COVID-19 Cases 12500 128% 5 Eu 10.0% 10000 - ae sé 7500 75% BE ge 5000 - 50% BE ge 2500 - 25% 3 5 0 0.0% — Daly Tests Completed (7-day average) — % Positivity Rate (by result date 7-day average Top counties basedon estet umber of so coesin at thee week 0/30 10/0) 28000 — cshona 20000 = eee’ 15000 = Fetonetie 10000 mer 5000= covw-s Issue 20 OKLAHOMA STATE REPORT | 11.01.2020 132 hospitals are expected to report in Oklahoma o cae 1600 oe 2 Z oe* ee z ° ow 100 eo * % * mae 35 oo a 8 3S 1200 g 2 38 4 2 = 83 1 ie Z

Ee a ou a ag = Eo 30% E 38 a Be 20% wn io 2 82 wos = £2 ow 195 Masks Surpicl Gowns loves fms 0.3 doys mmm 714 days 31+ days fms 45 days oem 15-30days mm Unreported Pe ee eno Pee ete ree See eet eee Pree ee ee ener ree een tere ees PPE: Unified hospitalization dataset in HHS Protect, These data exclude psychiatric, rehabilitation, and religiou Te hospitals explicitly identified by states/regions as those from which we should not expect reports were excluded from the percent rep ater en et ete eer ee a= cov. Issue 20 OKLAHOMA STATE REPORT | 11.01.2020 COVID-19 COUNTY AND METRO ALERTS* Top 12 shown in table (full lists below) METRO AREA (CBSA) COUNTIES oakoma iy ovahoma Tus Tulse LOCALITIES Sravnee Canada IN RED Fe Fotsratie ior 18 cas 53 ae A (+4) sartiesite A (411) ogers Mor Onsee Pr terloe Weatherford aay aye LOCALITIES Petetoe IN ORANGE 3 fe 8 co ZONE Fort Smith ea v(2) aes LOCALITIES ‘opm mvettow essen Se ZONE rrowe V(-1) v(-7) ™ eee Arar mscble a All Red CBSAs: Oklahoma City, Tulsa, Lawton, Shawnee, Enid, Durant, Muskogee, Ardmore, Bartlesville, Miami, Duncan, Weatherford, Altus, Elk City, Tahlequah, Guymon, Ponca City, Woodward All Red Counties: Oklahoma, Tulsa, Cleveland, Canadian, Comanche, Pottawatomie, Garfield, Bryan, Rogers, Okfuskee, Le Flore, Grady, McClain, Muskogee, Wagoner, Okmulgee, Delaware, Creek, Washington, Carter, Ottawa, McCurtain, Stephens, Garvin, Custer, Jackson, Beckham, Sequoyah, Caddo, Lincoln, Mayes, Cherokee, Texas, Kay, Kingfisher, Mcintosh, Murray, Woodward, Choctaw, Hughes, Nowata, Major, Haskell, Washita, Pushmataha, Johnston, Blaine, Latimer, Grant, Alfalfa, Tillman, Coal, Harmon eer ee Js, from highest to lowest. Some dates may ae cs Ceca eet 2 from USAFacts; therefore, the values may not match those reported health labs, hspital labs, and commercial labs) through= ow» Issue 20 Top 12 counties based on number of new cases in the last 3 weeks — Daily COvID-19 Cases (7-day average) MM Daily COVID-19 Cases 500 © Oklahoma County 400 ~ Tulsa County 400 Cleveland County | | 250 ih 200 1h 200 | | 200 5 Canadian County 200 ~ Comanche County 100 Pottawatomie County n 4 3 100 100 g 2 i? z . F 2 100 ) arietd county 50) ryan county 100 agers county z= °o - zs is 7 400 — okfuskee County 50 > Le Flore County 50 Grady County 200 Pare mec eiect at ea ames Cases: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match ete ni aim Taree Ween eC USEScovi-19 Issue 20 OKLAHOMA STATE REPORT | 11.01.2020 CASE RATES AND VIRAL LAB TEST POSITIVITY NEW CASES PER 100,000 VIRAL (RT-PCR) LABORATORY TEST POSITIVITY WEEKLY CHANGE IN NEW CASES WEEKLY CHANGE IN VIRAL (RT-PCR) PER 100,000 LABORATORY TEST POSITIVITY © 1s © “ Pern ere on nal data details available under METHODS ee OMe ag ae | data from USAFacts; therefore, the Perea tast pceren Nees) sta may be backfilled over time, resulting in week to- ee ee